Impact of superior ophthalmic vein thrombosis: a case series and literature review

Autor:	Kornelis D. de Witt, Nicolien van der Poel, René van den Berg, Maarten P. Mourits, Maartje M.L. de Win
Přispěvatelé:	Ear, Nose and Throat, ACS - Microcirculation, Radiology and Nuclear Medicine, ANS - Neurovascular Disorders, Ophthalmology
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Adult Male medicine.medical_specialty Eye Infections Arteriovenous fistula Ophthalmologic Surgical Procedures Cavernous sinus thrombosis Eye Veins 03 medical and health sciences 0302 clinical medicine medicine Blepharoptosis Exophthalmos Humans Glucocorticoids Aged Central Nervous System Vascular Malformations Venous Thrombosis business.industry Warfarin Cavernous Sinus Thrombosis Middle Aged Orbital Cellulitis medicine.disease Thrombosis Magnetic Resonance Imaging Surgery Anti-Bacterial Agents Eyelid swelling Ophthalmology 030221 ophthalmology & optometry Female Presentation (obstetrics) Orbital cellulitis business Superior ophthalmic vein 030217 neurology & neurosurgery medicine.drug Papilledema
Zdroj:	Orbit (Amsterdam, Netherlands), 39(3), 226-232. Informa Healthcare
ISSN:	0167-6830
Popis:	Purpose: To present nine new cases of superior ophthalmic vein thrombosis (SOVT) and compare these with the literature, and to assess the impact of SOVT for the clinician. Methods: Using the data bases of the Department of Ophthalmology of the AMC, we searched for patients with radiologically evidenced SOVT between January 2006 and December 2014. In addition, a PubMed search, using the mesh term ‘superior ophthalmic vein thrombosis’, was done. Results: We found nine patients with SOVT. In three patients, SOVT was related to dural arteriovenous fistulae. In one patient, it was caused by the acute reversal of warfarin by vitamin K. In two patients, an infectious cause was found. In three patients, the cause of SOVT was not found despite screening for coagulation and other disorders. All patients presented with eyelid swelling, proptosis, and/or motility impairment. We found complete recovery in four patients. Three patients had mild sequelae and two patients had severe visual impairment. In the literature, we found 60 cases reporting on SOVT with various aetiologies. Clinical presentation, treatment modalities, and outcomes were comparable to our findings. Conclusion: Our case series and literature review show that SOVT can occur simultaneously with cavernous sinus thrombosis (CST) but can also be a separate entity. Clinical presentation can mimic orbital cellulitis (OC) or CST and when no signs of OC can be found, an alternative cause for SOVT should be sought. When timely and adequate treatment is conducted, the prognosis is predominantly favourable.
Databáze:	OpenAIRE
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